Virtual Simulation to Enhance Clinical Reasoning in Nursing: A Systematic Review and Meta-analysis.

Sim, JJM; Rusli, KDB; Seah, B; Levett-Jones, T; Lau, Y; Liaw, SY

Virtual Simulation to Enhance Clinical Reasoning in Nursing: A Systematic Review and Meta-analysis.

Sim, JJM Rusli, KDB Seah, B Levett-Jones, T

Lau, Y Liaw, SY

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Clinical Simulation in Nursing, 2022, 69, pp. 26-39
Issue Date:: 2022-08

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Field	Value	Language
dc.contributor.author	Sim, JJM
dc.contributor.author	Rusli, KDB
dc.contributor.author	Seah, B
dc.contributor.author	Levett-Jones, T https://orcid.org/0000-0003-4279-8957
dc.contributor.author	Lau, Y
dc.contributor.author	Liaw, SY
dc.date.accessioned	2022-09-30T04:44:47Z
dc.date.available	2022-09-30T04:44:47Z
dc.date.issued	2022-08
dc.identifier.citation	Clinical Simulation in Nursing, 2022, 69, pp. 26-39
dc.identifier.issn	1876-1399
dc.identifier.issn	1876-1402
dc.identifier.uri	http://hdl.handle.net/10453/162199
dc.description.abstract	Background: The COVID-19 pandemic has given rise to more virtual simulation training. This study aimed to review the effectiveness of virtual simulations and their design features in developing clinical reasoning skills among nurses and nursing students. Method: A systematic search in CINAHL, PubMed, Cochrane Library, Embase, ProQuest, PsycINFO, and Scopus was conducted. The PRISMA guidelines, Cochrane's risk of bias, and GRADE was used to assess the articles. Meta-analyses and random-effects meta-regression were performed. Results: The search retrieved 11,105 articles, and 12 randomized controlled trials (RCTs) were included. Meta-analysis demonstrated a significant improvement in clinical reasoning based on applied knowledge and clinical performance among learners in the virtual simulation group compared with the control group. Meta-regression did not identify any significant covariates. Subgroup analyses revealed that virtual simulations with patient management contents, using multiple scenarios with nonimmersive experiences, conducted more than 30-minutes and postscenario feedback were more effective. Conclusions: Virtual simulations can improve clinical reasoning skill. This study may inform nurse educators on how virtual simulation should be designed to optimize the development of clinical reasoning.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Clinical Simulation in Nursing
dc.relation.isbasedon	10.1016/j.ecns.2022.05.006
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing
dc.title	Virtual Simulation to Enhance Clinical Reasoning in Nursing: A Systematic Review and Meta-analysis.
dc.type	Journal Article
utslib.citation.volume	69
utslib.location.activity	United States
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-09-30T04:44:43Z
pubs.publication-status	Published
pubs.volume	69

Abstract:

Background: The COVID-19 pandemic has given rise to more virtual simulation training. This study aimed to review the effectiveness of virtual simulations and their design features in developing clinical reasoning skills among nurses and nursing students. Method: A systematic search in CINAHL, PubMed, Cochrane Library, Embase, ProQuest, PsycINFO, and Scopus was conducted. The PRISMA guidelines, Cochrane's risk of bias, and GRADE was used to assess the articles. Meta-analyses and random-effects meta-regression were performed. Results: The search retrieved 11,105 articles, and 12 randomized controlled trials (RCTs) were included. Meta-analysis demonstrated a significant improvement in clinical reasoning based on applied knowledge and clinical performance among learners in the virtual simulation group compared with the control group. Meta-regression did not identify any significant covariates. Subgroup analyses revealed that virtual simulations with patient management contents, using multiple scenarios with nonimmersive experiences, conducted more than 30-minutes and postscenario feedback were more effective. Conclusions: Virtual simulations can improve clinical reasoning skill. This study may inform nurse educators on how virtual simulation should be designed to optimize the development of clinical reasoning.

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http://hdl.handle.net/10453/162199